Tibial Plateau Leveling Following Tibial Tuberosity Advancement: A Case Series
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Case | Breed | Age | Sex | Weight | Previous Surgery | Deterioration/Onset of Lameness | Hindlimb Lameness |
---|---|---|---|---|---|---|---|
1 | Golden retriever | 60 months | M | 40.0 | 3 months | Lame since index surgery and deterioration in the last 4 weeks | 2/5 right |
2 | Mongrel | 84 months | F | 26.3 | 36 months | Lame since index surgery and deterioration in the last 6 months | 3/5 left |
3 | Springer Spaniel | 72 months | M | 19.4 | 8 months | Lame since index surgery | 2/5 right |
4 | Labrador Retriever | 88 months | M | 31.5 | 3 months | Lame since index surgery | 2/5 right |
5 | West Highland White Terrier | 92 months | F | 10.85 | 3 months | Lame since index surgery and deterioration in the last 6 weeks | 5/5 right |
6 | Labrador Retriever | 72 months | M | 31.3 | 36 months | Lame since index surgery and deterioration in the last 6 months | 3/5 right |
7 | Mongrel | 120 months | F | 20.5 | 36 months | Lame since index surgery and deterioration in the last week | 5/5 right |
Case | TTAT | Preop SFA | Preop PLATP | Preop TPA | TPLT | Stifle Inspection | Postop SFA | Postop PTATP | Postop TPA |
---|---|---|---|---|---|---|---|---|---|
1 | Modified Maquet tibial tuberosity advancement | 104° | 94 ° | 28° | TPLO | Complete CCL rupture, intact menisci | 109° | 77° | 9° |
2 | TTA rapid | 112° | 96° | 32° | Modified CCWO (mCCWO) | Complete CCL rupture and medial meniscal tear (caudal horn) | 129° | 87° | 0° |
3 | Modified Maquet Procedure (MMP) | 104° | 90° | 24° | TPLO | Partial CCL rupture and intact menisci | 105° | 74° | 4° |
4 | MMP | 108° | 96° | 26° | TPLO and tension band | N/A | 106° | 86° | 9° |
5 | MMP | 137° | 102° | 34° | TPLO and tension band | N/A | 117 ° | 79° | 4° |
6 | MMP with 2 staples | 111° | 95° | 27° | TPLO | N/A | 115° | 79° | 8° |
7 | Modified Maquet Technique (MMT) | 108° | 83° | 22° | TPLO | Complete CCL rupture and medial meniscal tear (cranial horn) | 127° | 70° | 1° |
Case | Short-Term Follow Up | Subjective Lameness Score | Clinical Findings | Radiographic Findings | Long Term Follow Up | LOAD Score |
---|---|---|---|---|---|---|
1 | 8 weeks | 0 | Mild muscle atrophy, mild reduction of range of motion (ROM), negative TCT | Good healing of the bone, tibial tuberosity fracture healed and moderate stifle effusion | 61 months | 9/52 |
2 | 8 weeks | 1 | Very mild muscle atrophy, mild reduction of ROM, negative TCT | N/A | 17 months | 20/52 |
3 | 8 weeks | 1 | Mild muscle atrophy, mild reduction of the ROM, negative TCT | Almost complete bone healing, absence of implant associated complication, patellar ligament thickening | 42 months | 2/52 |
4 | 12 weeks | 1 | Moderate muscle atrophy, mild reduction of ROM, negative TCT | Good healing of the bone, healing of the tibial tuberosity fracture, mild stifle effusion | 83 months | 3/52 |
5 | 8 weeks | 1 | Mild muscle atrophy, normal ROM, negative TCT | Almost complete healing of the bone and no signs of stifle effusion | 8 months | 4/32 |
6 | 12 weeks | 0 | No muscle atrophy, mild reduction in ROM, negative TCT | Complete healing of the bone and mild stifle effusion | 17 months | 2/52 |
7 | 20 weeks | 0 | No muscle atrophy, negative TCT | N/A | N/A (dog died of kidney disease) | N/A |
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Serrani, D.; Picavet, P.P.; Marti, J.; Bouvy, B.; Balligand, M.; Witte, P.G. Tibial Plateau Leveling Following Tibial Tuberosity Advancement: A Case Series. Vet. Sci. 2022, 9, 16. https://doi.org/10.3390/vetsci9010016
Serrani D, Picavet PP, Marti J, Bouvy B, Balligand M, Witte PG. Tibial Plateau Leveling Following Tibial Tuberosity Advancement: A Case Series. Veterinary Sciences. 2022; 9(1):16. https://doi.org/10.3390/vetsci9010016
Chicago/Turabian StyleSerrani, Daniele, Pierre Paul Picavet, Juan Marti, Bernard Bouvy, Marc Balligand, and Philip George Witte. 2022. "Tibial Plateau Leveling Following Tibial Tuberosity Advancement: A Case Series" Veterinary Sciences 9, no. 1: 16. https://doi.org/10.3390/vetsci9010016